Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | LP03507 | RI |
N | 111NI0900X | Internist | LP03507 | RI |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | 288607 | MA |
NPI | 1245610229 |
---|---|
Provider Name | Esseim Sharma |
First Address | Boston, MA 02115-6106 |
Second Address | Boston, MA 02115-6106 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/06/2015 |
Last Update Date | 24/06/2021 |